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WorksheetsInsurance Verification Week 1 Prep Quiz
Total questions: 10
Worksheet time: 5mins
_________ is the federal health insurance program that provides health benefits to Americans age 65 and older.
Social Security System
Medicare
Medicaid
Insurance
This type of plan allows you to go to a provider that is out of network, but you'll pay more.
HMO
PPO
Medicaid
Medigap
All of these are the eligibilities for Medicare except
You are age 65 or older
You are younger than 65 with a qualifying disability
You are a low-income individual
You have a diagnosis of ESRD
You can stamp Medicare from these tabs except
Comments Tab
Insurance Tab
Event Form
Eligibility Tab
True or False: Medicare Supplement will ONLY cover after traditional Medicare.
True
False
How many days is a Same & Similar valid?
30 days
8 days
15 days
1 year
What is the coverage percent in coding the secondary Medicare Supp Plan G if Medicare ded is still not met?
80%
20%
0%
100%
The patient has Type 2 diabetes if the diagnosis code starts with E (a)
If the patient has a Medicare deductible balance of $240 and the secondary insurance is Blue Shield federal, how much should be the patient's responsibility?
FULL COST UNTIL MCR DED MET THEN $0
20% COINS
$0 COPAY
What is the preferred portal to use when checking coverage for BCBS Plans?
Zirmed
Availity
Experian
EV
